Healthcare Provider Details

I. General information

NPI: 1437068939
Provider Name (Legal Business Name): SHUNSHUN XU
Entity Type: Individual
Gender:
Sole Proprietor: Y

Provider Other Name: EMERSON TSUI

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 MASSACHUSETTS AVE NW
WASHINGTON DC
20005-1821
US

IV. Provider business mailing address

1500 MASSACHUSETTS AVE NW
WASHINGTON DC
20005-1821
US

V. Phone/Fax

Practice location:
  • Phone: 858-319-5661
  • Fax:
Mailing address:
  • Phone: 858-319-5661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: